| NPI | 1952527079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 215257) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000108681) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 002416888) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2024-01-30 |